Evaluating WHO Criteria for Maternal Near Miss
Author Information
Author(s): José G. Cecatti, João P. Souza, Antonio F. Oliveira Neto, Mary A. Parpinelli, Maria H. Sousa, Lale Say, Robert C. Pattinson
Primary Institution: University of Campinas
Hypothesis
The study aims to evaluate the performance of the WHO criteria for defining maternal near miss and identifying deaths among cases of severe maternal morbidity.
Conclusion
The WHO criteria for maternal near miss effectively identified all cases of death and nearly all cases of organ failure.
Supporting Evidence
- The WHO criteria identified 194 cases of maternal near miss and all 18 deaths.
- Sensitivity for predicting maternal deaths was 100% and specificity was 70.4%.
- The Total Maximum SOFA score had an area under the curve of 0.897 for predicting maternal near miss.
Takeaway
The study looked at how well the WHO's rules for spotting serious problems in pregnant women worked, and found they did a great job at catching both deaths and serious health issues.
Methodology
The study retrospectively analyzed data from 673 women with severe maternal morbidity admitted to an intensive care unit over five years.
Potential Biases
Potential bias in data collection due to reliance on clinical records.
Limitations
The study was retrospective and conducted in a single tertiary care center, which may limit generalizability.
Participant Demographics
Women with severe maternal morbidity admitted to an intensive care unit.
Statistical Information
P-Value
p<0.05
Confidence Interval
[95% CI]
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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